Table family_pact_providers_profile_cy_2021

Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like I*

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z *

provider_number	npi_provider_number	owner_number	service_location_number	provider_business_legal_name	enrollment_status_effective_date	provider_type_code	provider_type_code_desc	provider_license_number	provider_specialty_code	provider_specialty_code_desc	out_of_state_ind_desc	provider_address_county_code	provider_address_county_desc	attention_line	provider_address_line1	provider_address_line2	provider_address_city	provider_address_state	provider_address_zip	provider_address_latitude	provider_address_longitude	mssa_id	tract_id
1023122967	1023122967	1	1	INDIO FAMILY CARE CENTER	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	33	Riverside	None	47923 OASIS ST	None	INDIO	CA	922016950	33.700857	-116.220937	128	455.01
1114290780	1114290780	1	1	INDIAN HEALTH CENTER OF	03May2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	43	Santa Clara	SANTA CLARA VALLEY	455 O'CONNOR DRIVE	STE 200	SAN JOSE	CA	951281633	37.326705	-121.939855	183j	5020.01
1164643862	1164643862	1	1	INDIAN HEALTH CENTER OF	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	43	Santa Clara	SANTA CLARA VALLEY	1333 MERIDIAN AVE	None	SAN JOSE	CA	951255250	37.301556	-121.913574	183e	5023.01
1215030747	1215030747	1	1	INTEGRATIVE MEDICAL CTR	01Dec1993	022	PHYSICIANS GROUP	FNP12667	None	UNKNOWN	In state provider	30	Orange	None	526 W 17TH ST	None	SANTA ANA	CA	927063619	33.759988	-117.872775	116b	751
1215246996	1215246996	1	1	IMPERIAL BEACH COMMUNITY	27Jan2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	CLINIC	1016 OUTER ROAD	None	SAN DIEGO	CA	921541351	32.578619	-117.083338	161j	101.07
1275562969	1275562969	1	1	INLAND BEHAVIORAL AND HEALTH	01Jul2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	HEALTH CENTER	665 N D ST	None	SAN BERNARDINO	CA	924011109	34.111371	-117.291881	151g	57.01
1487613766	1487613766	2	1	INLAND CENTER MED GRP PC	11Apr2008	027	PODIATRISTS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	36	San Bernardino	None	9220 HAVEN AVENUE	SUITE 210	RANCHO CUCAMONGA	CA	917308551	34.086016	-117.575867	151b	21.10
1578823647	1578823647	1	1	INLAND BEHAVIORAL AND HEALTH	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	33	Riverside	SERVICES INC	1070 E RAMSEY STREET	None	BANNING	CA	922205924	33.925352	-116.864988	134	442
1629462312	1629462312	1	1	INDIAN HEALTH CENTER	27Mar2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	43	Santa Clara	OF SANTA CLARA	2039 FOREST AVENUE	STE 105	SAN JOSE	CA	951284833	37.327064	-121.934245	183j	5005
1790718351	1790718351	1	1	IMPERIAL BEACH HEALTH CT	02Jan1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	None	949 PALM AVE	None	IMPERIAL BEACH	CA	919321503	32.583790	-117.113362	161j	105.02
1861449522	1861449522	1	1	INDIAN HEALTH COUNCIL, INC	16Jan2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	None	50100 GOLSH RD	None	VALLEY CENTER	CA	920825338	33.277133	-116.951859	153.2	191.06
1881997963	1881997963	1	1	INDIAN HEALTH CENTER OF SANT	01May2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	43	Santa Clara	CLARA VALLEY	1642 E CAPITOL EXPY	None	SAN JOSE	CA	951211800	37.306075	-121.811998	183h	5033.37
1942487848	1942487848	1	1	ISLA VISTA NEIGHBORHOOD	17Jul2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	42	Santa Barbara	CLINIC	970 EMBARCADERO DEL MAR	None	ISLA VISTA	CA	931174869	34.411629	-119.857055	181a	29.24